Individual
MR. MARIO JIMMY SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 W CATALPA AVE APT 911, CHICAGO, IL 60640-7091
(248) 770-2466
Mailing address
1122 W CATALPA AVE APT 911, CHICAGO, IL 60640-7091
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
041454641
IL
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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